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Welcome to "Norm! A Cheers Podcast." We continue our discussion of Cheers Season 10 with "Rich Man, Wood Man."Please follow us on Twitter (@cheers_norm), like our page on Facebook (@normcheerspodcast), and email us at normcheerspodcast@gmail.com.Thanks for listening!
Jesus Raises LazarusJohn 11:38-44 How can people so ignorantly say that Jesus was just a man or a good teacher or a prophet? If you were sitting there and saw such a miracle, would you walk away with unbelief?Listen to the words of the Rich Man and Luke chapter 16. And he said, Nay, father Abraham: but if one went unto them from the dead, they would repent.And he said unto him, If they hear not Moses and the prophets, neither will they be persuaded, though one rose from the dead.
Take aways: Learn about Hilary and Steve's journey to enhance care for people with aphasia. Learn about communication access as a health equity issue. Identify systematic gaps and the disconnect between training and real world needs of people with aphasia. Learn about the development of the MedConcerns app. Get sneaky! Learn how the MedConcerns app can serve four functions simultaneously: 1) meeting the needs of someone with aphasia 2) serving as a tool that providers can use to communicate with people with aphasia 3) providing education to providers who learn about aphasia as they use the app 4) bringing SLPs and other providers together to meet the needs of people with aphasia Welcome to the Aphasia Access Conversations Podcast. I'm Jerry Hoepner. I'm a professor at the University of Wisconsin – Eau Claire and co-facilitator of the Chippewa Valley Aphasia Camp, Blugold Brain Injury Group, Mayo Brain Injury Group, Young Person's Brain Injury Group, and Thursday Night Poets. I'm also a member of the Aphasia Access Podcast Working Group. Aphasia Access strives to provide members with information, inspiration, and ideas that support their aphasia care through a variety of educational materials and resources. I'm today's host for an episode that will feature Hilary Sample and Dr. Steven Richman to discuss their app, MedConcerns. We're really excited to share this with you, so I'll jump into introducing them. Hilary G. Sample, MA, CCC-SLP Hilary is a speech-language pathologist, educator, and co-creator of MedConcerns, a communication support app that helps people with aphasia express medical concerns and participate more fully in their care. The app was born out of her work in inpatient rehabilitation, where she saw firsthand how often individuals with communication challenges struggled to share urgent medical needs. Recognizing that most providers lacked the tools to support these conversations, she partnered with physician Dr. Steven Richman to create a practical, accessible solution. Hilary also serves as an adjunct instructor at Cleveland State University. Steven Leeds Richman, MD Dr. Steven Richman is a hospitalist physician and co-creator of MedConcerns, a communication support app that helps people with aphasia express medical concerns and participate more fully in their care. With nearly two decades of experience in inpatient rehabilitation, he saw how often communication barriers prevented patients from being heard. In partnership with speech-language pathologist Hilary Sample, he helped translate core medical assessments into an accessible tool that supports clearer, more effective provider-patient communication. Transcript: (Please note that this conversation has been auto-transcribed. While we do our best to review the text for accuracy, there may be some minor errors. Thanks for your understanding.) Jerry Hoepner: Well, Hello, Hillary and Steve. Really happy to have you on this aphasia access conversations podcast. With me, I'm really looking forward to this conversation. It's maybe a year or 2 in the making, because I think this was at the previous Aphasia Access Leadership Summit in North Carolina. That we initially had some discussions about this work. And then life happens right? So really glad to be having this conversation today. Hilary Sample: And we're really glad to be here. Jerry Hoepner: Absolutely. Maybe I'll start out just asking a little bit about your background, Hillary, in terms of how you connected with the life participation approach and aphasia access and how that relates to your personal story. Hilary Sample: Sure, so I haven't been in the field long. I graduated in 2019 and began my career immediately in inpatient rehab. I have to remember. It's talk slow day, and I'm going to make sure that I apply that as I speak, both for me and for listeners. So I began on the stroke unit, primarily in an inpatient rehab setting, and I've worked there for the majority of my career. I came in as many, probably in our field do, trained and educated in more of an impairment based approach but quickly when you work with people, and they let you know who they are and what they need. The people that I worked with on the stroke unit, the people with aphasia let me know that they needed more of a life participation approach. You know I learned how vital it was to support communication and to help him, you know, help them access their lives, because most of the time I entered the room. They had something they wanted to communicate, and they had been waiting for someone who had those skills to support communication in order to get that message across. So it wasn't about drills it was about. It was about helping them to communicate with the world, so that I spent more and more time just trying to develop my own skills so that I could be that professional for them and that support. And then that took me. You know that it just became my passion, and I have a lot of room to improve still today, but it's definitely where my interest lies and at the same time I noticed that in general in our hospital there was a lack of communication supports used, and so I thought that in investing in my own education and training, I could help others as well. And so I started doing some program development to that end as well with training and education for healthcare staff. Jerry Hoepner: I just love the fact. And actually, our listeners will love the fact that it was patients who connected with you, people with aphasia, who connected with you and encouraged you to move towards the life participation approach, and how you learn together and how that's become your passion. That's just a really great outcome when people can advocate for themselves in that way. That's fantastic. Hilary Sample: Yeah, it really meant a lot to me to be able to receive that guidance and know that, you know there's an interest in helping them to let you know what they want from therapy, and that was there. But a lot of times the selections were impairment based, and then we. But there was something wrong, and we needed to uncover that. And that was, you know, that was the push I needed to be able to better support them. Jerry Hoepner: Yeah, that's really great, Steve. I'm interested in your story, too. And also how you came to connect with Hillary. Steve: I started as a trained as a family physician, had a regular outpatient office for a number of years, and then transitioned into inpatient rehab. That's where I really started to meet some people with aphasia. For the 1st time. Hilary and I have talked a few times about my training and education about aphasia before we met each other, and it was really minimal in Med school. They had lectures about stroke and brain injury, and some of the adverse effects you might get from that. And they, I'm sure, mentioned aphasia. But I really don't recall any details, and if they did teach us more, it would just nothing that I grasped at the time. So I would walk into these patient rooms, and what I would normally do for my trainings. I would ask people all these open, ended questions to start with, and then try to narrow down, to figure out what their problems are, and with people with aphasia, especially when they have minimal or no language skills. They couldn't. I was not successful at getting useful information out, and I remember walking out of those patient rooms and just being frustrated with myself that I'm not able to help these people, and the way I can help everyone else, because if I don't know what's going on. you know. How can I? It was really challenging and I really didn't know where to go. I talked to a few other doctors, and there didn't seem to be much in the way of good information about how to move forward. Eventually I met Hillary, and we would have these interesting episodes where I would talk or try to talk with the patients and get minimal, useful information. And Hillary would come back and say, they're having this problem and this concern. And with this medicine change. And how do you do that? How and that kind of started our us on the pathway that we've taken that recognition from my end that there's a lot that can be done. And the yeah. Jerry Hoepner: Yeah, I love that story, and it's a really good reminder to all of us that sometimes we forget about those conversations, the conversations with physicians, with other providers who might not know as much about aphasia. I'll just tell a really quick story. My wife used to work in intensive care, and of course she had been around me for years, and they would have someone with aphasia, and her colleagues would be like, how do you even communicate with them, and she would be coming up like you, said Steve, with all of this information about the patient, and they're like, where are you getting this information. The person doesn't talk. Hilary Sample: Yes. Jerry Hoepner: And that just emphasizes why it's so important for us to have those conversations, so that our all of our colleagues are giving the best care that they can possibly provide. Hilary Sample: That's a great story. That was very much like almost verbatim of some of the conversations that we initially had like, where is this coming from? They don't talk, or you know they don't have. Maybe they don't have something to say, and that's the assumptions that we make when somebody doesn't use verbal communication. You know, we quickly think that maybe there's not something beneath it, you know. I have a story as well. So what led to a little bit more toward where we are today. sitting in those rooms with people with aphasia and apraxia and people with difficulty communicating. There's 1 that stuck out so much. She was very upset, and that it was. And I we had just really developed a very nice relationship, a very supportive relationship she kind of. She would let me have it if she was upset about something. We had really honest conversations and it and it was earlier on to where I was stretching my skills in in using communication supports, and she really helped me grow. But I remember being in her room one day, and she had something to share. And this is a moment that repeated itself frequently, that the thing that needed to be shared was medical in nature, you know, in inpatient rehab. That's a frequent. That's a frequent situation that you run into. And we sat there for maybe 15 min, maybe more. And we're working on getting this out. We're narrowing it down. We're getting clarity. We're not quite there yet, as I said, I'm still new, and but the physician walks in and we pause. You know I'm always welcoming physicians into the into therapy, because I really see that we have a role there. But and talk slow. Hilary, the physician, asked an open-ended question like Steve was talking about asking those open-ended questions as they're trained to do, and it was a question that the person with aphasia didn't have the vocabulary available to answer, and before I would jump in, that person shrugged her shoulders and shook her head that she didn't have anything to share with them, and I was like, but we had just been talking. You know, there's definitely something, and I think I just sat there a little bit stunned and just observing more. And you know the physician finished their assessment mostly outside of verbal communication, and left the room, and then I spoke to her, and we. We tracked down what the rest of her concern was, and clarified it, and then I found the physician who was not Dr. Richman, and I shared all the things that they had told me that she had told me, and I remember her saying I was just in there. She didn't have anything wrong. and I and I was, you know, I told her, like the communication supports that I used, and you know we got that. We moved forward with the conversation. But there were a few things that stuck out to me in that, and one was the way that the physician was communicating wasn't using. They weren't using supports. For whatever reason, I didn't have that knowledge yet. We dove into the literature to learn more later on. The second thing was that the person with aphasia seemed to give up on the provider, knowing that since supports weren't being used. It wasn't going to be a successful communication attempt. So why even bother, and that definitely fits her personality. She's like I give up on you. And the 3rd thing was that the education about that somebody has something to share the education about. Aphasia was lacking, so you know that the person's still in there. They still have their intellect, their identity, their opinions, beliefs. But they didn't have the ability to communicate that piece seemed to be missing on the part of the provider, because they were saying they didn't have anything to share. So, it was like, I said that situation happened repeatedly, and very much. Sounds just like yours, but it hit me how much there was to do. And so, hearing, you know Steve's experiences that are on the other side of that. Such a caring, the one thing that led me to want to speak to Steve is that he's a very compassionate caring physician, so it's not a lack of care and compassion. But what else was going on what led to this, and we started learning that together. It was really interesting for me to learn how Hillary's 1st assumption is. Why aren't these physicians using communicative supports or other things that we were never taught about? The assumption that the docs know all this, and there's plenty we don't know. Unfortunately, there's, you know there's so much out there. Steve Richman: The other thing Hillary touched on that was so true in my experience, is here. I'm meeting people that had a significant event, a traumatic brain injury, a bad stroke. And we're so used to judging people's intelligence through their speech. And they're not speaking. And it's so easy to start thinking there's just not much going on up there, and I didn't have the education or information or training to know for a long time. That wasn't the case until my dad had a stroke with aphasia. And so yeah, there's still plenty going on there just hard to get it out. And even as a medical provider, I really wasn't fully aware of that. And it took personal experience and learning from Hillary to really get that. it's still there just need to find out how to help them get it out. Jerry Hoepner: Yeah, I think that's a rather common story, especially for people with aphasia. But even for people without aphasia, that sense that the doctor is coming in, and things have to happen. And I know I'm sitting here with Steve, who is very compassionate and wants to ensure that communication. But I think there's a little bit of fear like, oh, I can't get it out in this context, and just bringing awareness to that, and also tools. So, tools in education. So those physicians can do the work that they need to do and get that knowledge that they may have never been exposed to, and probably in many cases have never had that training to communicate with someone so like you, said Steve. How are you supposed to know when they didn't train us in this? And I guess that brings us back around to that idea that that's part of the role of the speech language pathologist and also kind of a vacancy in tools. Right? We're. We're just missing some of the tools to make that happen consistently across facilities and across people. So, I'm really interested in hearing a little bit about the tools you've created, and kind of the story leading up to that if you if you don't mind sharing. Hilary Sample: Absolutely. 1st I'll share. There's a quote, and I'm not going to remember who said it. Unfortunately, I'll come up with it later, and I'll make sure to share with you. But that healthcare is the medium by or I'm sorry. Communication is the medium by which healthcare is provided, or something to that extent. We need communication in order to ensure equal access to health care. And like you said that gap, it's really big, and it's a systemic issue. So, leading up to us, coming together, we had those experiences on both of our ends. I realized that I wasn't a physician. I already knew this, but I also I was trying to provide communication support to enable them to communicate something on a topic that I'm not trained in. In order to really give what it's due right? I don't know what questions that Steve is going to ask next, you know I tried, but I and I tried to listen, but I didn't always have, you know. Of course, I don't have that training, so know your limits right. But I did. The general overarching method that I was using was we'd have concerns to choose from, including the question mark that enabled them to tell. Tell me that you're way off, or you didn't guess it, or it's not on here. And then narrow choices that I try to come up with, and we'd move on like that. And anytime somebody appeared to have a medical concern. There's those general topics that you would try to see if it's 1 of these things. One of these concerns, and then those would generally take you to a series of sub questions, and so on, and so forth. So, I recognize that this was repeatable. I also, at the same time as I shared, was recognizing that communication supports weren't being used. And that doesn't. That doesn't end with, you know, a physician that's also nurses nursing aides. That's therapists, including SLPs, and you know, so I'm doing a thing that can be repeated. Why not stop recreating it every time I enter the room and make it into something that I can bring with me a prepared material that I can bring with me and ideally share it with others. So, I again, knowing my limitations, know what I have to bring to that equation. But I knew that I needed to partner with someone that cared just as much but had the medical knowledge to inform that tool. So at 1st it was a print little framework that I brought, and what happened is, I came up to Steve, and I let him know what I was thinking, and he was open and willing to work together on this, and Hillary showed me these pictures that were kind of showing some general medical concerns, and brought up the whole concept and we initially were going for this pamphlet booklet idea, you know. If you have this concern, you go to this page to follow it up with further questions, and then you go to this other page to finalize the subs. We realized there was a lot of pages turning involved to make that work, and we eventually turned it into an app where you could take your concern, and we start with a general Hello! How are you? You know? Kind of what's the overall mood in the room today. And then what medical concerns do you have? And then from those concerns, appropriate sub questions and sub questions and timeframes, and the stuff that you would want to know medically, to help figure out the problem. And then go ahead. I'm sorry. Jerry Hoepner: Oh, oh, sorry! No, that's terrific. I appreciate that that process and kind of talking through the process because it's so hard to develop something like this that really provides as much access as is possible. And I think that's really key, because there's so many different permutations. But the more that you get into those the more complex it gets. So, making it easy to access, I think, is part of that key right? Hilary Sample: One thing that I'm sorry. Did you want to say? Yeah, I'll say, okay, 1. 1 part of it. Yes, the accessibility issue. Every provider has a tablet or a phone on them, and many of our patients and their families also do so. It made it clear that it's something that could be easier to use if that's the method somebody would like to use, but also having a moment where my mind is going blank. This is gonna be one of those where we added a little bit. This is what you call a mother moment. Jerry Hoepner: Okay. Steve Richman: The one thing that was fascinating for me as we were developing this tool is I kept asking why? And Hillary kept explaining why, we're doing different parts of it. And at this point it seems much more obvious. But my biggest stumble at the beginning was, why are these Confirmation pages. Why do we have to keep checking, you know? Do they mean to say yes? Do they mean to go ahead? And that education about how people with language difficulties can't always use language to self-correct. We need to add that opportunity now makes so much sense. But I remember that was a stumbling block for me to acknowledge that and be good with that to realize. Oh, that's really important. The other thing that Hillary said a lot, and I think is so true is in developing this tool. We're kind of developing a tool that helps people that know nothing about communication supports like myself how to use them, because this tool is just communication supports. You know, I hear these repeatedly taught me about the importance of layering the clear pictures and words, and the verbal, and put that all the well, the verbalizing, the app is saying the word in our case, so that could all be shared and between all that layering hopefully, the idea gets across right and then giving time for responses. Jerry Hoepner: It sounds like the tool itself. Kind of serves as an implicit training or education to those providers. Right? Hilary Sample: And there's the idea that I was missing when I had a little bit of. So yes, all of those strategies. They take training right? And it takes those conversations. And it takes practice and repetition. And there's amazing, amazing things happening in our field where people are actually undertaking that that transformation, transforming the system from above right. Jerry Hoepner: Right. Hilary Sample: But one thing that a big part of this work was trying to fill the gap immediately. I know you and I had previously talked about Dr. Megan Morris's article about health equity, and she talks a lot about people with communication disorders, including aphasia. And you know there's and she mentions that people cannot wait. The next person pretty much cannot wait for that work to be done, though that'll be amazing for the people that come down the line, the next person, what can we do for them? So we also need to be doing that. And that's where we thought we could jump in. And so I think the biggest you know. The most unique aspect of MedConcerns is that, or of the tool we created is that it kind of guides the clinician, the healthcare provider, through using communication supports. So you know, when I go in the room I offer broad options, and then I follow up with more narrow choices, always confirming, making sure I'm verifying the responses like Steve talked about, and or giving an opportunity to repair and go back and then that I summarize at the end, ensuring that what we have at the end still is valid, and what they meant to say. And so that's how the app flows, too. It enables the person to provide a very detailed, you know, detailed message about what's bothering them to a provider that has maybe no training in communication supports, but the app has them in there, so they can. It fills the gap for them. Jerry Hoepner: Absolutely. It's kind of a sneaky way of getting that education in there which I really like, but also a feasible way. So, it's very pragmatic, very practical in terms of getting a tool in the hands of providers. It would be really interesting actually, to see how that changes their skill sets over time but yeah, but there's definitely room for that in the future. I think. Hilary Sample: We could do a case study on Dr. Richman. Steve Richman: whereas I used to walk out of those patient rooms that have communication difficulties with great frustration. My part frustration that I feel like I'm not doing my job. Well, now you walk out much more proudly, thinking, hey, I able to interact in a more effective way I can now do in visit what I could never accomplish before. Not always, but at least sometimes I'm getting somewhere, and that is so much better to know I'm actively able to help them participate, help people participate. I love writing my notes, you know. Communication difficulties due to blank. Many concerns app used to assist, and just like I write, you know, French interpreter used to assist kind of thing and it does assist. It's it makes it more effective for me and more effective for the person I'm working with. It's been really neat to watch you know, go from our initial conversations to seeing the other day we were having a conversation kind of prepping for this discussion with you and he got a call that he needed to go see a patient and I'll let you tell the story. So we're prepping for this. A couple of days ago. I think it was this Friday, probably, or Thursday, anyways, was last week and I'm at my office of work and again knock on the door. Someone's having chest pain. I gotta go check that out. So I start to walk out of the room. Realize? Oh, that room! Someone was aphasia. I come back and grab my phone because I got that for my phone and go back to the room. And it's interesting people as with anything. People don't always want to use a device. And he's been this patient, sometimes happy to interact with the device, sometimes wanting to use what words he has. And so I could confirm with words. He's having chest pain. But he we weren't able to confirm. What's it feel like? When did it start? What makes it better. What makes it worse? But using the app, I can make some progress here to get the reassurance that this is really musculoskeletal pain, not cardiac chest pain. Yes, we did an EKG to double check, but having that reassurance that his story fits with something musculoskeletal and a normal EKG. Is so much better than just guessing they get an EKG, I mean, that's not fair. So, it would have been before I had this tool. It would have been sending them to the er so they can get Stat labs plus an EKG, because it's not safe just to guess in that kind of situation. So, for me, it's really saved some send outs. It's really stopped from sending people to the acute care hospital er for quick evaluations. If I if I know from the get go my patient has diplopia. They have a double vision, because that's part of what communicated. When we were talking about things with help from MedConcerns. Yeah, when I find out 4 days later, when their language is perhaps returning, they're expressing diplopia. It's not a new concern. It's not a new problem. I know it's been a problem since the stroke, whereas I know of other doctors who said, Yeah, this person had aphasia, and all of a sudden they have these bad headaches that they're able to tell me about. This sounds new. I got to send them for new, you know whereas I may have the information that they've been having those headaches. We could start dealing with those headaches from the day one instead of when they progress enough to be able to express that interesting. Jerry Hoepner: Yeah, definitely sounds like, I'm getting the story of, you know the improvement in the communication between you and the client. How powerful that is, but also from an assessment standpoint. This gives you a lot more tools to be able to learn about that person just as you would with someone without aphasia. And I think that's so important right to just be able to level that playing field you get the information you need. I can imagine as well that it would have a big impact on medication, prescriptions, whatever use? But also, maybe even counseling and educating that patient in the moment. Can you speak to those pieces a little bit. Steve Richman: You know, one of my favorite parts of the app, Hillary insisted on, and I'm so glad she did. It's an education piece. So many people walk into the hospital, into our inpatient rehab hospital where I now work, and they don't recall or don't understand their diagnosis, or what aphasia is, or what happened to them. And there's a well aphasia, friendly information piece which you should probably talk about. You designed it, but it's so useful people are as with any diagnosis that's not understood. And then explained, people get such a sense of relief and understanding like, okay, I got a better handle of this. Now it's really calming for people to understand more what's going on with them. Hilary Sample: This is, I think you know, that counseling piece and education, that early education. That's some of the stuff that could bring tears to my eyes just talking about it, because it's; oh, and it might just now. So many people enter, and they may have gotten. They may have received education, but it may not have. They may have been given education, but it may not have been received because supports weren't used, or there's many reasons why, you know, even if it had been given, it wasn't something that was understood, but so many people that I worked with aphasia. That one of the 1st things that I would do is using supports. Tell them what's going on or give them. This is likely what you might be experiencing and see their response to that. And that's you know what aphasia is, how it can manifest. Why it happens, what happened to you, what tools might be useful? How many people with aphasia have reported feeling? And you might be feeling this way as well, and these things can help. And it's very simple, very, you know. There's so much more to add to that. But it's enough in that moment to make someone feel seen and you know, like a lot of my friends, or one of my friends and former colleagues, uses this, and she says that's her favorite page, too, because the people that she's working with are just like, yes, yes, that's it, that's it. And the point and point and point to what she's showing them on the app. It's a patient education page, and then they'll look at their, you know, family member, and be like this. This is what's going on this, you know, it's all of a sudden we're connecting on that piece of information that was vital for them to share. And it was. It was just a simple thing that I kept repeating doing. I was reinventing the wheel every time I entered the room, but it was. It stood out as one of the most important things I did. And so that's why Steve and I connected on it, and like it needed to be in the app. And there's more where that came from in the future planning. But we added to that A on that broad, you know, kind of that page that has all the different icons with various concerns, we added a feelings, concern emotions, and feelings so that someone could also communicate what's going on emotionally. We know that this is such a traumatic experience, both in the stroke itself, but also in the fact that you lost the thing that might help you to walk through it a little easier which is communicating about it and hearing education learning about it. But so those 2 tools combined have really meant a lot to me to be able to share with people, with aphasia and their families, and also another sneaky way to educate providers. Jerry Hoepner: Yeah, absolutely. Hilary Sample: Because that's the simple education that I found to be missing when we talked about training was missing, and this and that, but the like when Steve and I talked recently, we you know, I said, what did you really learn about aphasia? And you kind of said how speech issues? Right? Steve Richman: The speech diagnoses that we see are kind of lumped in as general like the names and general disorders that you might see, but weren't really clearly communicated as far as the their differential diagnoses being trained as a generalist, we would learn about, you know, neurology unit stroke and traumatic brain injury. And somewhere in there would be throwing in these tumors, which are huge aphasia and apraxia and whatnot, and I don't think I recall any details about that from Med school. They probably taught more than I'm recalling, but it certainly wasn't as much as I wish it was. Hilary Sample: and so that education can just be a simple way to bring us all together on the same page as they're showing this to the person that they're working with. It's also helping them to better understand the supports that are needed. Jerry Hoepner: Sneaky part. Steve Richman: Yeah, speaking of the sneaky part, I don't think I told Hilary this yet, but I'm sure we've all had the experience or seen the experience where a physician asked him, What does that feel like? And the person might not have the words even with the regular communication, without a communication disorder. and last week I was working with a patient that just was having terrible pain and just could not describe it. and using the icons of words on that he had a much better sense of. You know it's just this and not that, and those descriptors of pain have been really useful for people now without more with communication difficulties that I just started doing that last week. And it was really interesting. Hilary Sample: You mentioned about how those interactions with physicians are can be. Well, it's not nothing about you guys. Jerry Hoepner: It's the rest of the physicians. Hilary Sample: No, it's the, you know. There's a time. It's the shift in how our whole system operates that it's, you know I go in and I'm like, I just need notes if I need to speak about something important to my physician, because, like, I know that one reason I connect so deeply with people with communication disorders is that my anxiety sometimes gets in the way of my ability to communicate like I want to, especially in, you know, those kind of situations. And so, you know, it can help in many ways just having something to point to. But we also saw that with people with hearing loss, which, of course, many of the people that we run into in many of the patients that we work with are going to have some sort of hearing loss. People that speak a little different, you know. Native language. You know English as a second language. Jerry Hoepner: Absolutely. Hilary Sample: There and then. Cognitive communication disorders, developmental disorders, anybody that might benefit with a little bit more support which might include you and me. You know it can help. Jerry Hoepner: And I think you know the physician and other providers having the tools to do that education to use the multimodal supports, to get the message in and then to get responses back out again. I think it's really important. And then that process of verifying to just see if they're understanding it. Are you? Are you tracking with me? And to get that feedback of, I'm getting this because I think sometimes education happens so quickly or at a level that doesn't match, and they might not understand it. Or sometimes it's just a matter of timing. I know we joke about Tom Sather and I joke about this. We've had people come to our aphasia group before who traveled out to a place in the community and they're sitting next to you. And they say, what is this aphasia stuff everyone's talking about? And I'm like, you literally just passed a sign that said Aphasia group. Right? But it's so hard to ensure that the message does go in, and that they truly understand that until you get that Aha moment where you describe like, yes, that's me, that's it. And that's just so crucial. Hilary Sample: yeah, it's 1 of the most important pieces, I think to name it doesn't for anything that anybody is dealing with that's heavy, you know, to have to have it named can really provide relief just because that unknown, you know, at least at least you can have one thing that you know. I know what it is, and then I can learn more about it. Once I know what it is, I can learn more about it, and I can have some sort of acceptance, and I can start that grieving process around it, too, a little bit better. But when it goes unnamed, and the other part of it is if you don't tell me that, you know like that, you can see and understand what I might be experiencing, I might not think that you know what it is either, and I might not feel seen. So just the fact that we're both on board that we know I have this thing. I think it can take a lot of the weight off. At least, that's what I've seen when it's been presented. Jerry Hoepner: No or care, right? Hilary Sample: Yeah. Yes. Exactly. Jerry Hoepner: Yep, and that's a good a good chance to segue into we I know we picked on Steve a little bit as a physician but the system really kind of constrains the amount of time that people have to spend with someone, and they have to be efficient. I'll go back to that sneaky idea. This seems like a sneaky way to help change the system from within. Can you talk about that a little bit like how it might move care forward by. Hilary Sample: Showing what's possible. Yeah, I'm sorry, sure. In part time. Constraints, unfortunately, are very real, and without the knowledge of training how to communicate or support communication. It's challenging for us to move us physicians to move forward, but with something like our app or other useful tools in a short amount of time you could make some progress. And then, if you could document, this is worthwhile time worthwhile that I'm accomplishing something with my patient. I'm helping to understand what their issues are, and helping to explain what we want to do. That all of a sudden makes the time worthwhile, although time is a real constraint. I think, is general. Doctors are happy to spend extra time. If it's worthwhile that's helping our patient. That's the whole reason we go into this is help our people. We help the people we're working with, you know. No one wants to go in there and spend time. That's not helping anybody. But if you could justify the time, because I'm making progress. I'm really helping them great go for it. It's worth doing, and the part about efficiency. So there's so many ways that this focus on. And it's not even efficiency, because efficiency sounds like some success was achieved, you know. But this, this we only have this amount of time. One of the one of the things that's kind of interesting to me is that it an assumption? I've seen a lot, or I've heard a lot is that using communication supports takes time. More time and I have watched plenty, an encounter where the physician is trying, and it takes forever. I've experienced my own encounters as I was growing and deepening my own skills, and where it took me forever. And that's because we're trying. We care, but we don't have something prepared. So when you have a prepared material, it not only helps you to effectively and successfully you know, meet that communication need and find out what is actually bothering the person that you're working with. But it enables you to move at a pace that you wouldn't be able to otherwise, you know. So if Steve and I have this kind of running joke that I'll let you tell it because you have fun telling it. Steve Richman: With the MedConcerns app. I could do in a little while what I can never do before, and with the med concerns App Hillary could do in 5 min. What used to take a session? It's really. Jerry Hoepner: Yeah. Hilary Sample: Makes huge impacts in what we could accomplish, so less of a joke and more of just. Jerry Hoepner: Yes, but having the right tools really is sounds like that's what makes the difference. And then that gives you time and tools to dedicate to these conversations that are so important as a person who's really passionate about counseling. One of the things we were always taught is spending time now saves time later, and this seems very much like one of those kind of tools. Hilary Sample: Yeah. Well, we had one of the 1st times that we brought the prototype to a friend of ours who has aphasia. And it kind of speaks to the exactly what you just said. Spending time now saves time later, or saves money. Saves, you know, all the other things right is our friend Bob, and he doesn't mind us using his name. But I'll let you tell this story a little bit, because you know more from the doctor. Bob was no longer a patient of ours, but we had spent time with him and his wife, and they were happy to maintain the relationship, and we showed him that after he had this experience but he was describing experience to us, he was having hip pain. He had a prior stroke hemiplegic and having pain in that hemiplegic side. So the assumption, medically, is, he probably has neuropathy. He probably has, you know, pain related to the stroke, and they were treating with some gabapentin which makes sense. But he kept having pain severe. 10 out of 10. Pain severe. Yeah. And just. We went back day after day, and not on the 3rd day back at the er they did an X-ray, and found he had a hip fracture and look at our app. He was like pointing all over to the things that show the descriptors that show not neuropathic pain, but again, musculoskeletal pain and that ability to, you know, without words we could point to where it hurts. But then, describing that pain is a makes a huge difference. And he knew he very clearly. Once he saw those pictures he like emphatically, yes, yes, yes, like this is this, we could have, you know, if we could have just found out this stuff, we wouldn't have had to go back to the er 3 times and go through all that wrong treatment and this severe amount of pain that really took him backwards in his recovery to physically being able to walk. And things like that, you know, it's just finding out. Getting more clarity at the beginning saves from those kind of experiences from the pain of those experiences. But also, you know, we talked about earlier. If you have to sort of make an assumption, and you have to make sure that you're thinking worst case scenario. So in other situations where you send out with a chest pain and things like that, there's a lot that's lost for the person with aphasia because they might have to start their whole rehab journey over. They have to incur the costs of that experience. And you know they might come back with, you know, having to start completely over, maybe even new therapists like it's. And then just the emotional side of that. So, it not only saves time, but it. It saves money. It saves emotional. Yeah, the emotional consequences, too. Jerry Hoepner: Yeah. Therapeutic Alliance trust all of those different things. Yeah, sure. Yeah. I mean, I just think that alone is such an important reason to put this tool in the hands of people that can use it. We've been kind of talking around, or a little bit indirectly, about the med concerns app. But can you talk a little bit about what you created, and how it's different than what's out there. Hilary Sample: Yeah, may I dive in, please? Okay, so we yeah, we indirectly kind of talked about it. But I'll speak about it just very specifically. So it starts with an introduction, just like a physician would enter the room and introduce themselves. This is a multimodal introduction. There's the audio. You can use emojis. What have you then, the General? How are you? Just as Steve would ask, how I'm doing this is, how are you with the multimodal supports and then it gets to kind of the main part of our app, which is, it starts with broad concerns. Some of those concerns, pain, breathing issues, bowel bladder illness. Something happened that I need to report like a fall or something else and the list continues. But you start with those broad concerns, and then every selection takes you to a confirmation screen where you either, you know, say, yes, that's what I was meaning to say, or you go back and revise your selection. It follows with narrow choices under that umbrella concern, the location type of pain, description, severity, exacerbating factors. If you've hit that concern so narrow choices to really get a full description of the problem, and including, like, I said, timing and onset. And then we end with a summary screen that shows every selection that was made and you can go to a Yes, no board to make sure that that is again verified for accuracy. So, it's a really a framework guiding the user, the therapist healthcare provider person with aphasia caregiver whomever through a supported approach to evaluating medical concerns. So generally, that's the way it functions. And then there are some extras. Did you want me to go into those? A little bit too sure. Jerry Hoepner: Sure. Yeah, that would be great. Hilary Sample: Right? So 1 1. It's not an extra, but one part of it that's very important to us as we just talked about our friend Bob, is that pain? Assessment is, is very in depth, and includes a scale description, locations, the triggers, the timing, the onset, so that we can get the correct pathway to receiving intervention. This app does not diagnose it just, it helps support the verbal expression or the expression. Excuse me of what's wrong. So, it has that general aphasia, friendly design the keywords, simple icons that lack anything distracting, clear visuals simple, a simple layout. It also has the audio that goes with the icon, and then adjustable settings, and these include, if you know, people have different visual and sensory needs for icons per screen, so the Max would be 6 icons on a screen, although, as you scroll down where there's more and more 6 icons per screen. But you can go down to one and just have it. Be kind of a yes, no thing. If that's what you need for various reasons, you can hide specific icons. So, if you're in a setting where you don't see trachs and pegs. You can hide those so that irrelevant options don't complicate the screen. There's a needs board. So we see a lot of communication boards put on people's tray tables in in the healthcare setting, and those are often they often go unused because a lot of times they're too complex, or they're not trained, or they, for whatever reason, there's a million reasons why they're not used. But this one has as many options as we could possibly think might need to be on there which any of those options can be hidden if they need to be. If they're not, if they're irrelevant to the user language it's in. You can choose between English and Spanish as it is right now, with more to come as we as we move along, and then gender options for the audio. What voice you'd like to hear? That's more representative. And the body image for the pain to indicate pain location. There's some interactive tools that we like to use with people outside of that framework. There's the whiteboard for typing drawing. You can use emojis. You can grab any of the icons that are within the app. So, if you know we if it's not there and you want to detail more, you can use the whiteboard again. That needs board the Yes, no board. And then there's also a topic board for quick messages. We wanted to support people in guiding conversations with their health care providers. So, I want to talk to Steve about how am I going to return to being a parent? Once I get home, what's work life going to be. I want to ask him about the financial side of things. I want to ask him about therapy. I want to report to him that I'm having trouble with communication. I want to talk on a certain topic. There's a topic board where you select it. It'll verify the response. It has a confirmation page, but from there the physician will start to do their magic with whatever that topic is. And then, of course, there's those summary screens that I already detailed, but those have been very useful for both, making sure at the end of the day we verify those responses but then, also that we have something that's easy to kind of screenshot. Come back to show the physician. So show the nurse as like a clear message that gets conveyed versus trying to translate it to a verbal message at the end from us, and maybe missing something so straightforward, simple to address very complex needs, because we know that people with aphasia would benefit from simple supports, but not they don't need to stay on simple topics. They have very complex ideas and information to share. So we wanted to support that. That's what it is in a nutshell that took a nutshell. I love that. It's on my phone, or it could be on your. Jerry Hoepner: Oh, yeah. Hilary Sample: Or on your or on your apple computer. If you wanted that, it's on the app store. But I love this on my phone. So, I just pull in my pockets and use it. Or if you happen to have an another device that works also. Jerry Hoepner: Sure. Hilary Sample: We're in the. We're in the process of having it available in different ways. There's a fully developed android app as well. But we're very much learners when it comes to the business side of things. And so there's a process for us in that, and so any. Any guidance from anybody is always welcome. But we have an android that's developed. And then we're working on the web based app so that we could have enterprise bulk users for enterprise, licensing so that that can be downloaded straight from the web. So that's all. Our vision, really, from the onset was like you said, shifting the culture in the system like if there's a tool that from the top, they're saying, everybody has this on their device and on the device that they bring in a patient's room, and there's training on how to use it, and that we would provide. And it wouldn't need to be much, just simple training on how to use it. And then you see that they are. They get that little bit more education. And then it's a consistent. We know. We expect that it'll be used. The culture can shift from within. And that's really the vision. How we've started is more direct to consumer putting it on the app store. But that's more representative of our learning process when it comes to app development than it is what our overall vision was, I want to say that equally as important to getting this into systems is having it be on a person's device when they go to a person with aphasia's device when they go to an appointment. I always, when we've been asked like, Who is this? For we generally just kind of say, anybody that that is willing to bring it to the appointment, so that communication supports are used, and maybe that'll be the SLP. Maybe it's the caregiver. Maybe it's care partner or communication partner, maybe a person with aphasia. Maybe it's the healthcare staff. So, whoever is ready to start implementing an easier solution. That's for you. Jerry Hoepner: Yeah, absolutely. And that brings up a really interesting kind of topic, like, what is the learning curve or uptake kind of time for those different users for a provider on one hand, for a person with aphasia. On the other hand, what's a typical turnaround time. Hilary Sample: We've tried to make it really intuitive, and I think well, I'm biased. I think it is Hilary Sample: I for a provider. I think it's very easy to show them the flow and it, and it becomes very quickly apparent. Oh, it's an introduction. This is putting my name here. What my position is next is a how are you that's already walk in the room, anyways. And that's that. What are your concerns? Okay, that that all. Okay. I got that I think with time and familiarity you could use the tool in different ways. You don't have to go through the set up there you could jump to whatever page you want from a dropdown menu, and I find that at times helpful. But that's you. Don't have to start there. You just start with following the flow, and it's set up right there for you. The, as we all know people with the page I have as all of us have different kind of levels, that some people, they, they see it, they get it, they take the app, and they just start punching away because they're the age where they're comfortable with electronic devices. And they understand the concept. And it takes 5 seconds for them to get the concept and they'll find what they want. Some of our older patients. It's not as quick. But that's okay. My experience with it's been funny to show to use it with people with aphasia versus in another communication disorders, and using it with or showing it to people in the field or in healthcare in general, or you're just your average person most of the time that I showed this to a person with aphasia or who needed communication supports. It's been pretty quick, even if they didn't use technology that much, because it is it is using. It's the same as what we do on with pen and paper. It's just as long as we can show them at the onset that we're asking you to point or show me right. And so once we do that and kind of show that we want you to select your answer, and some people need more support to do that than others. Then we can move forward pretty easily. So people with aphasia a lot of times seem to be waiting for communication supports to arrive, and then you show them it, and they're like, Oh, thanks, you know, here we go. This is what's going on. Of course, that's there are varying levels of severity that would change that. But that's been my experience with people with aphasia. When I show people that do not have aphasia. I see some overthinking, because you know. So I have to kind of tell people like, just them you want them to point and hand it over, you know, because when I've seen people try to move through it, they're overthinking their what do you want me to do? I'm used to doing a lot with an app, I'm used to, you know, and the app moves you. You don't move it. So the real training is in stepping back and allowing the communication supports to do what you're thinking. I need you to do right. Step back and just let the person use the communication supports to tell you their message. And you, you provide those supports like we tend to provide more training on how to help somebody initiate that pointing or maybe problem solving the field of responses or field of icons that's on the page, or, you know, troubleshooting a little bit. But the training more is to kind of have a more hands off. Approach versus you know, trying to move the app forward since the apps focus, really, on describing what's going on with somebody and not trying to diagnose once someone gathers. Oh, I'm just trying to get out what I'm experiencing, it becomes very intuitive. Yeah, that's the issue. And this is, yeah, that's how describes it more. And yeah, this is about when it started that Jerry Hoepner: That makes sense. And it's in line with what we know about learning use of other technologies, too, right? Usually that implicit kind of learning by doing kind of helps more than here's the 722, you know, pieces of instruction. So yeah, that kind of makes sense. Hilary Sample: Simple training. I just to throw in one more thought I you know a little bit of training on what communication supports are, and then you show them. And it really, the app shows you how to use communication supports. And so it, you know instead of having to train on that you can just use the app to show them, and then and then they sort of start to have that awareness on how to use it and know how to move forward from there. Generally, there's some training that needs to be to be had on just where things are maybe like the dropdown menu, or you know what's possible with the app, like changes, changes, and settings and the adjustments that we talked about earlier but usually it's a little bit of a tool that I use to train people how to use communication support. So, it's sort of like the training is embedded. So we're doing both at the same time. You're getting to know the app, and you're learning more about how to support communication in general. Jerry Hoepner: I think that's a really great takeaway in terms of kind of that double value. Right? So get the value to the person with aphasia from the standpoint of multimodal communication and self-advocacy and agency, those kinds of things, and then the value to the providers, which is, you learn how to do it right by doing it. Hilary Sample: Which is great. Yeah. Jerry Hoepner: Really like that. Hilary Sample: Some of the most meaningful experiences I've had are with nurses like, you know, some of those incredible nurses that, like they see the person with aphasia. They know they know what to say, they want to. They know that the person knows what they want to say, but has difficulty saying it. We have one person I won't mention her name, but she's just incredible, and you know the go to nurse that you always want to be in the room she pretty much was like, give me this as soon as we told her about it, and I did, you know, and she goes. She's like, see, you know she uses it as a tool to help her other nurses to know what's possible for these. She's such an advocate but if it can be used like that to show what's possible like to show, to reveal the competency, and to let other nurses know, and other physicians, and so on, to help them to truly see the people that they're working with. It's like that's my favorite part. But the it's not only like a relief for her to be able to have a tool, but it's exciting, because she cares so much, and that like Oh, I'll take that all day long. That's wonderful. Jerry Hoepner: Absolutely well, it's been really fun having a conversation with you, and I've learned a lot more than I knew already about the app. Are there any other things that we want to share with our listeners before we close down this fun conversation. Hilary Sample: I think maybe our hope is to find people that are ready to help kind of reach that vision of a culture shift from this perspective from this angle. Anybody that's willing to kind of have that conversation with us and see how we can support that. That's what we're looking for just to see some system change and to see what we can do to do that together, to collaborate. So if anybody is interested in in discussing how we might do that, that's a big goal of ours, too, is just to find partners in in aphasia advocacy from this angle. Jerry Hoepner: That's great! Hilary Sample: Perfect. I totally agree. We're very grateful for this conversation, too. Thank you so much, Jerry. Jerry Hoepner: Grateful to have the conversation with both of you and just appreciate the dialogue. Can't wait to connect with you in future conferences and so forth. So, thank you both very much. Hilary Sample: Thank you. Jerry Hoepner: On behalf of Aphasia Access, thank you for listening to this episode of the Aphasia Access Conversations Podcast. For more information on Aphasia Access and to access our growing library of materials go to www.aphasiaaccess.org. If you have an idea for a future podcast series or topic, email us at info@aphasiaaccess.org. Thanks again for your ongoing support of Aphasia Access.
Hell is a topic most would rather ignore—but Jesus didn’t. In this sobering message, Pastor Chris Rieber unpacks the powerful story of the Rich Man and Lazarus from Luke 16. Through this passage, we’re confronted with the uncomfortable yet undeniable reality of Hell—a place of eternal separation from God. Pastor Chris emphasizes the urgency of avoiding such a fate, not through fear, but through faith in Christ. He also challenges believers to carry the weighty but necessary responsibility of sharing the gospel with a world that desperately needs hope and truth. This episode is both a wake-up call and a call to action. Eternity is real—and what we do with the gospel matters more than ever.
Come join us for service!Sunday Night Service At The Pentecostals Of Dothan.https://linktr.ee/Podothan
This week Joe continues our 'A New Way with Stories' series, looking at Jesus' provocative story of Lazarus and The Rich Man from Luke 16:19:31. Let's be challenged afresh by Jesus' invitation to see and respond to the needs and injustices around us.Join us on Sundays in-person, 10:30am at The Littlehampton Academy, UKGet in contactVisit our website at arunchurch.com@arunchurch on Facebook, Instagram and YouTubeEmail us on hello@arunchurch.comPlease note, while we aim for clear teaching on the Christian faith, the views, information and opinions expressed by individuals on this podcast do not necessarily represent the views held by Arun Church or its representatives.
Welcome to Wellspring Church!What happens when greed quietly slips into our hearts—and even our churches? In this message, Pastor Billy Waters explores one of Jesus' most sobering parables in Luke 12, calling us to wake up to the hidden power of greed and the joy of gospel generosity.While most sins are visible and easily confessed, greed hides in plain sight. Pastor Billy unpacks how our culture of abundance distorts our view of what we need—and how Jesus confronts that with truth and grace.
By David Chornomaz - This Sermonette addresses common Christian beliefs about the afterlife, focusing on the parable of the rich man and Lazarus from Luke 16. It clarifies misunderstandings about heaven and hell, emphasizing the spiritual lessons about wealth, responsibility, and the consequences of one's actions.
EPISODE 95 - “VIRGINIA GREY: Classic Cinema Star of the Month” - 7/07/25 If VIRGINIA GREY is remembered at all, the blue-eyed, blonde-haired beauty is probably best remembered as the caustic perfume counter girl in The Women (1939), who sees right through the gold-digging ways of Crystal Allen, played by JOAN CRAWFORD. In these brief scenes, she is so charismatic and saucy, she really shows how to deliver a zinger of a line. She may also be remembered as the good luck charm of producer ROSS HUNTER, who put her in many of his popular movies of the mid-1950s and 1960s. But there was so much more to this talented actress. This week, we explore her life and career as we honor her as our Star of the Month. SHOW NOTES: Sources: “Virginia Grey, a Veteran of 100 moves, dies at 87,” August 6, 2003, New York Times; Robert Taylor: The Man WIth the Perfect Profile (1973), by Jane Ellen Wayne; “The Girl Who Won Gable Back,” November 1951, by Linda Griffin, Modern Screen magazine; “An Interview With Virginia Grey,” by Mike Fitzgerald, www.westernclippings.com; “Virginia Grey,” briansdriveintheater.com; Wikipedia.com; TCM.com; IBDB.com; IMDBPro.com; Movies Mentioned: The Women (1939), starring Norma Shearer, Joan Crawford, & Rosalind Russell; Uncle Tom's Cabin (1927), starring James B. Lowe; Dames (1934), starring Ruby Keeler, Dick Powell. & Joan Blondell; Secret Valley (1937); starring Richard Arlen & Virginia Grey; Test Pilot (1938), starring Clark Gable & Myrna Loy; Rich Man, Poor Girl (1938), starring Lana Turner; Dramatic School (1938) starring Luise Rainer & Paulette Goddard; The Hardy's Ride High (1939), starring Mickey Rooney & Lewis Stone; Idiot's Delight (1939), starring Clark Gable & Norma Shearer; Broadway Serenade (1939), with Jeanette MacDonald & Lew Ayres; Another Thin Man (1939), starring William Powell & Myrna Loy; Hullabaloo (1940), starring Frank Morgan; The Big Store (1941), starring the Marx Brothers; Blonde Inspiration (1941), starring John Shelton; Tarzan's New York Adventure (1942), starring Johnny Weissmuller & Maureen O'Sullivan; Whistling in the Dark (1941), starring Red Skelton & Ann Rutherford; Bells of Capistrano (1942), starring Gene Autry & Virginia Grey; Sweet Rosie O'Grady (1943), with Betty Grable & Robert Young; Strangers in the Night (1944), starring William Terry & Virginia Grey; Blonde Ransom (1945), with Virginia Grey; House of Horrors (1946), with Robert Lowery & Virginia Grey; Unconquered (1947), starring Gary Cooper & Paulette Goddard; Leather Gloves (1948), with Cameron Mitchell; Mexican Hayride (1948), starring Abbott & Costello; Jungle Jim (1948), Starring Johnny Weissmuller & Virginia Grey; Highway 301 (1950), with Steve Cochran & Virginia Grey; Slaughter Trail (1951), starring Gig Young & Virginia Grey; Three Desperate Men (1951), with Preston Foster & Virginia Grey; Captain Scarface (1953), with Leif Erickson & Virginia Grey; The Forty-Niners (1955), with Wild Bill Elliott & Virginia Grey; All That Heaven Allows (1955), starring Jane Wyman & Rock Hudson; The Rose Tattoo (1955), starring Anna Magnani & Burt Lancaster; Jeanne Eagles (1957), starring Kim Novak; Portrait In Black (1960), starring Lana Turner; Back Street (1961), starring Susan Hayward; Flower Drum Song (1961), starring Nancy Kwan; The Naked Kiss (1964), starring Constance Tower; Love Has Many Faces (1965), starring Lana Turner, Cliff Robertson & Hugh O'Brien; Airport (1970), with Burt Lancaster & Dean Martin; --------------------------------- http://www.airwavemedia.com Please contact sales@advertisecast.com if you would like to advertise on our podcast. Learn more about your ad choices. Visit megaphone.fm/adchoices
This Sunday we continue our summer series 'Parables Of Jesus' with Pastor Nick bringing us the sixth message: 'The Parable Of The Rich Man & Lazarus'.You can follow the message along in the YouVersion bible app at https://www.bible.com/events/49457152 and add your own notes! Also you can watch this service on YouTube https://www.youtube.com/watch?v=u2Bdg_zRQ3I
Jesus tells a parable about what happens when two very different men die. One ends up in torment, the other in paradise. Repentance and faith in Jesus changes our eternal destination.
As part of our The Point of the Story series. Delivered by Luke Porteous. This sermon is also available to watch on YouTube.
This week, Caleb continues through our "Parables" series with the parable of the Rich Man and Lazarus.
X- "4th Of July JONATHAN RICHMAN - “O Guitar” WINTER, HORSE JUMPER OF LOVE - “Misery” U.S. GIRLS - “Like James Says” FRANZ FERDINAND, JOHNNY MARR - “Build It Up” JEANINES - “Coaxed A Storm” HOTLINE TNT - “Dance The Night Away” YOUNG FATHERS - “Lowly” ANIMAL COLLECTIVE - “Love On The Big Screen” THE LEMONHEADS - “In The Margines” DAFFO - “Absence Makes The Grow” TORTOISE - "Organessen" TUNE-YARDS - “Heartbreak” YA YA BEY, FATHER TILLIS - “Merlot And Grigio” MARK RONSON, RAYE - “Suzanne” THE BETHS - “No Joy” THE VALERY TRAILS - “Everything Is Temporary” LUKE HAINES, PETER BUCK - “The Pink Floyd Research Experiment” SUPERCHUNK - “No Hope” MARSHALL CRENSHAW - “Move Now” SLOAN - “Live Forever” fanclubwallet - “Cotton Mouth” OBERBAUM - “Solitude” KEN POMEROY - “Wolf In Sheep's Clothing” PAUL WELLER - “I Started A Joke”
This episode coversReliable Narrator by Chase PetraThe Ballad of Phil and Phyllis by Oliver Richman, Joy Woods & Grant StellerWebsite: https://redcircle.com/shows/two-tunes-podcastInstagram: https://instagram.com/twotunespodcast?igshid=13gpurxc3bf2qDiscord: https://discord.gg/eYMwBuJ6GeRSS Feed: https://feeds.redcircle.com/baeeceec-9527-475d-85b5-d9da2eea19d3E-mail: twotunespodcast@gmail.comSupport this podcast at — https://redcircle.com/two-tunes-podcast/exclusive-content
Topics: Understanding Old and New Covenants, Mixing Old and New Covenants, Old Covenant, New Covenant, The Danger of Mixing Covenants, Overcoming Legalism, Buffet Line Commandments, Random Bible Application, Carnage from Not Separating Covenants, Jesus Taught the Law's Standard, Matthew 5:17 Law's Purpose, 2 Corinthians 3:6 Letter Kills, Jesus Explained Paradoxes, Impossible Behavior Passages, Matthew 5 & 6 Strict Law, John 1:12 Believing in Jesus Only, John 8:32 Freedom in Truth, Context in the Bible, The Cross as the Dividing Line, Hebrews 7:22 Blood for New Covenant, Colossians 1:26-27 World Saved by Faith, Ephesians 2:12 Gentiles Without Hope, Jesus' Ministry for Jews Only, Exodus 24:8 Covenant with Israel, Galatians 4:4-5 Christ Born Under Law, Galatians 3:28 One in Christ, Hebrews 8:6, Matthew 15:21-28 Canaanite Woman, Lost Sheep of Israel, Unbelief and Self-Righteousness, Galatians 4:4 Christ Redeemed Under Law, John 1:17 Law vs. Grace, Mark 2:22 New Wine New Wineskins, Romans 7:12 Law is Perfect, Galatians 3:24 Law as a Tutor, John 14:6 Jesus The Way, Bursting Wineskins, Old Does Not Mean Correct, Matthew 23:9 Call No Man Father, Revelation 2:4, Early Church Divisions, Romans 3:19 Law Silences, Deuteronomy 6:25 Obeying for Righteousness, Psalm 1:2 Meditate on Law, Joshua 1:8 Prosperity by Obedient Behavior, Matthew 11:28-30 Rest in Christ, Matthew 19:24 Rich Man and Heaven, Matthew 21:12 Jesus Flips Tables, Matthew 23:27-28 Repentance of Unbelief, Philippians 3:1-9 Christ Our Everything, Luke 10:38-42 Martha and Mary, Luke 15:15-32 Parable of Prodigal Son, Matthew 20:1-16 Parable of Talents, Matthew 25:14-30 Parable of Vineyard Workers, Matthew 5:48 Be Perfect Like God, Deuteronomy 4:2 Keep All Commandments, Galatians 3:10 Cursed by Law, Matthew 23:23 Tithing Rebuked, 2 Corinthians 9:7 Give Freely, Ephesians 1:3 Blessed in Christ, Guilt and Condemnation, 2 Corinthians 3:7-18 Ministry of Death, Galatians 2:19 Dead to Law, Romans 7:4 Released from Law, John 13:34-35 Jesus' Two Commandments, 1 John 3:23 Believe and Love, Matthew 22:36-40 Greatest Commandment in Law, 1 John 5:3 Jesus' Commandments Not Burdensome, Deuteronomy 4:2 Moses' Commandments Burdensome, John 3:16 God's Love, Romans 5:8 Christ Died for Us, Abrahamic Covenant, Receive by Faith, New Perfect SpiritSupport the showSign up for Matt's free daily devotional! https://mattmcmillen.com/newsletter
Bible StudyDon't just take our word for it . . . take His! We would encourage you to spend time examining the following Scriptures that shaped this sermon: .Sermon OutlineSermon QuestionsWhat is mercy, biblically?Read Psalm 73, from the perspective of Lazarus. How does this psalm illustrate a merciful heart?Where are you superabounding materially? What needs are you aware of in our community that you could help to address?What needs in our community are you unaware of, because your daily routines/rhythms/whereabouts insulate you from them?Resources ConsultedDig Deeper: NT Wright, The Challenge of Jesus: Rediscovering Who Jesus Was and Is (IVP, 2015)Reach Higher: Richard Bauckham, “The Rich Man and Lazarus: The Parable and the Parallels,” New Testament Studies 37 (1991), 225–46; Reuben Bredenhof, “Looking for Lazarus: Assigning Meaning to the Poor Man in Luke 16.19–31,” New Testament Studies 2020 (66), 51–67; John T. Carroll, Luke: A Commentary (Westminster John Knox, 2012); Søren Kierkegaard, Works of Love, trans. George Pattison (Harper Perennial, 2009); Martin Luther King, Jr. “Remaining Awake through a Great Revolution,” in A Testament of Hope (Harper, 1994), 268–78Questions?Do you have a question about today's sermon? Email Sam Fornecker ().
Worship - June 29, 2025 “The Parable of the Rich Man & Lazarus” - Luke 16:19-31Associate Pastor Eric Beckman
✣ Free Neville Goddard PDF: manifestwithneville.com✣ God Mode 2025 Retreat: https://godmoderetreats.com✣ God Mode Course: https://unlockgodmode.org----------------------In this lecture, Neville Goddard contrasts the law, which governs our earthly experience, with grace, which is the divine gift of spiritual birth. He explains that while the law operates on the principle of “as you sow, so shall you reap,” grace is entirely unearned and beyond human effort.The law is mental causation—the ability to shape reality through imagination and assumption. If one assumes a state, life will rearrange itself to bring that state into physical form. However, no matter how skillfully one uses this law, it does not qualify them for the second birth. Grace is God's gift of Himself to man, a spiritual awakening that happens by divine will, not human effort.Neville describes his own experience of grace as a series of profound mystical events: first, the realization of being born from above; second, the revelation of God's son, David, calling him Father; and third, his ascension into divine unity. These experiences confirm that salvation is not achieved but bestowed.He warns against mistaking the mastery of manifestation for spiritual salvation, emphasizing that while the law can improve one's life, only grace can free one from the cycle of recurrence and bring them into God's eternal temple.Key TakeawaysThe Law is Mental Causation – You Reap What You Sow“Be not deceived, God is not mocked. Whatever a man sows, that shall he also reap.” (Galatians 6:7)Every assumption, whether conscious or unconscious, produces its corresponding reality.This law operates automatically; by assuming a state, you create the bridge of events leading to its fulfillment.You Can Use the Law to Manifest Anything, But It Won't Save YouThe law can bring wealth, fame, and success, but it cannot bring salvation.Many who master the law still find themselves unfulfilled because they remain on the “wheel of recurrence.”Salvation is a divine gift and cannot be earned through effort or moral behavior.Grace is the Second Birth – A Gift, Not a RewardJust as we did not cause our physical birth, we cannot cause our spiritual birth.Grace is God's gift of Himself, awakening man to his true identity as God the Father.This experience comes unexpectedly and is not based on personal merit.The Three Stages of Grace (Spiritual Awakening)First: The birth from above—awakening within the skull and realizing one is entombed.Second: The revelation of David as the Son of God, confirming one's identity as the Father.Third: The ascension, where the individual is drawn into divine unity.The Rich Man & The Eye of the Needle – What It Really Means“It is easier for a camel to go through the eye of a needle than for a rich man to enter the Kingdom of God.” (Matthew 19:24)This does not refer to material wealth but to spiritual complacency—those who are too self-satisfied to seek truth.The spiritually “poor” are those who hunger for God and are willing to let go of their attachments.You Cannot Earn or Force Salvation – It is Given According to God's WillMany believe they must “do” something to be saved, but Jesus said, “With man, it is impossible, but with God, all things are possible.”God awakens man according to His own plan and purpose.No one will be lost—all will eventually be called and redeemed.Your Past Does Not Disqualify You from GraceNo one is worthy of the second birth, yet everyone will receive it.If salvation were based on merit, no one would attain it.Grace erases all past transgressions; divine mercy exceeds human judgment.The Ultimate Revelation – You Are God The FatherThe final proof of salvation is when David appears and calls you Father.This is the fulfillment of Psalm 89:26: “I have found David… He shall cry unto me, Thou art my Father, my God, and the rock of my salvation.”At that moment, you realize that you and God are one.You Are Predestined to Fulfill This JourneyRomans 8:29: “Those whom He foreknew, He also predestined to be conformed to the image of His Son.”Every individual is part of God's divine structure and will be fitted into the eternal temple.No one will be lost—every soul will be redeemed in time.Until Grace Comes, Use the Law WiselyWhile waiting for grace, use the law to live a fulfilling life.Assume the best not only for yourself but for others, as imagining lovingly mediates God to man.Avoid using the law destructively, as all imaginal acts return to their source.Final ThoughtNeville emphasizes that while understanding and using the law is valuable, it is not the ultimate goal. Manifesting worldly success is not the same as spiritual awakening. The final revelation comes through grace when God gives Himself to man, proving that man and God are one. Until that moment, use the law wisely, knowing that grace will come in its own appointed time. ***Download the free Neville Goddard PDF Guide at manifestwithneville.com - Discover the transformative power of Neville Goddard's wisdom with this FREE 60-page guide on his 12 timeless principles of manifestation and reality creation.★ Follow the podcast for daily lectures from the mystic Neville Goddard ★FREE RESOURCES:• Join the FREE Neville Goddard newsletter• Join the FREE Telegram Channel• Feeling is the Secret • Full Audiobook* * *The James Xander Trip Podcast:• Listen on Spotify• Listen on Apple Podcasts• Listen on YouTubeDIVE DEEPER:• The Unlock God Mode Course• The Infinite Wealth Guided Medit...
The Sunday morning message from Trinity Chapel in 7-Mile Ford, Virginia, with Truth to Ponder host and church pastor, Bob Biermann. Today's message is based on the Parable of Lazaeth and the Rich Man. Now, do you believe in this ministry? If you do, you can keep us on the air as a radio program and podcast by visiting our website, https://truth2ponder.com/support. You can also mail a check payable to Ancient Word Radio, P.O. Box 510, Chilhowie, VA 24319. Thank you in advance for your faithfulness to this ministry.
Sunday Morning- Pastor Larson- Luke 16:19-31
Rich Man and Lazarus. What does Moses and John have to say about this?Deuteronomy 6:4–13; Psalm 33:12–22; 1 John 4:16–21; Luke 16:19–31Trinity 1
The Rich Man and Lazarus - Luke 16:19-31
Sermon June 15 - The Rich Man and Lazarus: Luke 16:19-31 by Sunnybrook Christian Church
Cycle of Lives: 15 People's Stories, 5,000 Miles, and a Journey Through the Emotional Chaos of CancerAmazon Bestseller in "Brain Cancer"Have you ever been forced to consider the fact of your mortality? If confronted with cancer, how would you feel? What would you say to the people you love? What would they say to you?No two people have the same answers to these questions, a lesson I learned well during a solo six-week, 5,000-mile cross-country bike ride I called Cycle of Lives. The trip started as a fundraiser in honor of my sister, June, who died of brain cancer. But long before I even set out on my endurance ride from L.A. to Florida to N.Y., I exhaustively interviewed fifteen people across the country whose lives had also been irrevocably changed by cancer—either as patients, survivors, loved ones, or caregivers.Want to be a guest on Book 101 Review? Send Daniel Lucas a message on PodMatch, here: https://www.podmatch.com/hostdetailpreview/17372807971394464fea5bae3 Hosted on Acast. See acast.com/privacy for more information.
John Robinson | Recorded March 22, 2025
John Robinson | Recorded March 22, 2025
You may have heard that super viral song on TikTok called "Looking for a man in finance," and yeah, it's fun. But does it speak to people's broader desires to find someone who's more than comfortable financially?Host Brittany Luse is joined by Wailin Wong, co-host of NPR's The Indicator, and Reema Khrais, host of Marketplace's This Is Uncomfortable. They discuss what people are really looking for from a man in finance... and whether dating up in class is even possible.This episode originally published November 29th, 2024.Learn more about sponsor message choices: podcastchoices.com/adchoicesNPR Privacy Policy
The latest episode of 3 the Hardaway.Subscribe to our Channel: https://www.youtube.com/@UCqag5-yPsLz_F3nMAltcStA Twitter/X: https://twitter.com/3theHardawayPodTikTok: https://www.tiktok.com/@3thehardawaypodInstagram: https://www.instagram.com/3thehardawaypod/Audio Podcast Platforms: https://podcasters.spotify.com/pod/show/3-the-hardaway
Yeah, everyone calls it the Parable of Lazarus and the Rich Man but when we look at what Jesus was telling His audience of mostly poor Jews, it was a funny and outrageous story about a very rich man who is so rotten that he ends up getting thrown into the canyon where all the trash of Jerusalem is burned. Transcript: https://contextforkids.com/2025/06/08/episode-172-the-rich-man-on-the-trash-heap/ YouTube: https://youtu.be/zqwC_7i3ZtM
As we continue our walk through the Gospel of Matthew, we come across the story of The Rich Man. We learn that it isn't our works that get us into the Kingdom of Heaven, but only the belief in Jesus. Its through God's grace that we recieve our salvation and that its a gift. Nothing we do for God can get us into His Kingdom. Join us Sundays at 8:30 and 10:30am and Wednesdays at 7:00pm
Are we loved? It is a question we often ask in times of depression, sadness and hardship. We want to know if someone cares about us or worse, is there any reason someone should care about us. In this video, we begin to answer that question (spoiler alert - the answer is an unequivocal "yes!") by mentioning the three big reasons people do not believe they are loved - their circumstances, evil done to them and evil they did, then by focusing on this question: "Does my difficult life mean I am not loved?" Verses covered:Luke 16:19-31 (the rich man and Lazarus)1 Timothy 2:1-4 (God wants all to be saved)John 3:14-21 (Jesus is a gift for all)To see David Hicks on YouTube, click here.
On today's Bible Answer Man broadcast (05/29/25), Hank answers the following questions:Can you explain how heaven is not a place? Dan - Renton, WA (0:50)Do you believe that to be absent in the body means to be instantaneously with the Lord? Nicholas - Henderson, TN (19:23)What does it mean to be saved? Nicholas - Henderson, TN (23:35)
This explosive episode features legendary New York defense attorney Murray Richman joining Anita Marks and Nevin Shapiro to unpack the legal storm surrounding Sean “Diddy” Combs. Richman, who once represented key figures in Diddy's past legal battles, offers unprecedented insight into the prosecution's strategy, the Southern District of New York's conviction culture, and what it really means to face federal charges as a celebrity. From jury psychology to political agendas, this episode doesn't hold back.Murray Richman brings over 60 years of courtroom experience, sharing war stories from his time defending high-profile clients—while offering a sobering view on how the justice system works behind closed doors. As Richman and Nevin compare their experiences with federal power plays, Anita pushes the discussion into controversial territory: racial bias, celebrity persecution, and the weaponization of the DOJ.Whether you're a true crime fanatic, a legal drama addict, or just following the evolving Diddy saga, this episode breaks down what's at stake, how the prosecution builds its narrative, and why a “dream team” might not be enough to beat the feds. If you care about truth, justice, and the future of high-profile prosecutions, this one is a must-watch.From reflections on media manipulation to exposing the power imbalance inside federal courtrooms, this conversation challenges viewers to rethink how narratives are crafted, and who benefits when the system decides to make an example out of someone. It's more than a legal breakdown — it's a deep dive into the psychology of public trials, the machinery of federal power, and the voices fighting to balance the scale.Timestamps: 02:33 – Legendary attorney Murray Richman joins the show 03:06 – Representing Shine: Murray recalls the original Diddy/J.Lo case 08:01 – Has the prosecution made their case? Murray's raw legal take 10:36 – “The feds milk everything” – Inside federal tactics and pressure 12:00 – Weaponized DOJ? Murray calls out political prosecutions 13:27 – Could Trump pardon Diddy? A shocking legal twist 15:05 – Nevin reveals how his sentence doubled due to media pressure 17:06 – Truth about plea deals: Does turning one down seal your fate? 19:08 – “No such thing as a dream team” – Murray dismantles the myth 22:17 – Diddy allegedly plotted to kill Kid Cudi? Explosive testimony 26:29 – “They're building the RICO” – Is the government setting the stage? 34:13 – Why Diddy? Murray says it's racial, political, and personalFollow the Hosts on Instagram: Anita Marks: https://www.instagram.com/anita_marks Nevin Shapiro: https://www.instagram.com/nevinshapiro/Producer: Michael Lazo: https://www.instagram.com/digilazo/
Analyzing the Dave Smith / Alex Nowrasteh Debate on Immigration – with Sheldon RichmanIn this episode of The Rational Egoist, Michael Liebowitz is joined by Sheldon Richman to analyze and unpack the high-profile immigration debate between libertarian comedian Dave Smith and immigration policy expert Alex Nowrasteh. Richman—executive editor at The Libertarian Institute and former senior editor at both the Cato Institute and the Institute for Humane Studies—offers his seasoned perspective on the philosophical and policy-oriented arguments made on both sides. They explore the economic, ethical, and practical dimensions of immigration policy and discuss what was missed or misunderstood in the debate.Richman is also the author of Coming to Palestine and What Social Animals Owe to Each Other, and has long been a leading voice on liberty, peace, and individual rights.Michael Leibowitz, host of The Rational Egoist podcast, is a philosopher and political activist who draws inspiration from Ayn Rand's philosophy, advocating for reason, rational self-interest, and individualism. His journey from a 25-year prison sentence to a prominent voice in the libertarian and Objectivist communities highlights the transformative impact of embracing these principles. Leibowitz actively participates in political debates and produces content aimed at promoting individual rights and freedoms. He is the co-author of “Down the Rabbit Hole: How the Culture of Correction Encourages Crime” and “View from a Cage: From Convict to Crusader for Liberty,” which explore societal issues and his personal evolution through Rand's teachings.Explore his work and journey further through his books:“Down the Rabbit Hole”: https://www.amazon.com.au/Down-Rabbit-Hole-Corrections-Encourages/dp/197448064X“View from a Cage”: https://books2read.com/u/4jN6xj join our Ayn Rand Adelaide Meetups here for some seriously social discussions on Freedom https://www.meetup.com/adelaide-ayn-rand-meetup/
By Ken Loucks - Many believe Jesus' parable of Lazarus and the rich man proves that souls go to heaven or hell at death. But what if that's not what the parable is teaching at all? In this study, we'll uncover what the Bible actually says about death, judgment, and the powerful message Jesus was delivering—not
Matt Slick Live (Live Broadcast of 05-21-2025) is a production of the Christian Apologetics Research Ministry (CARM). Matt answers questions on topics such as: The Bible, Apologetics, Theology, World Religions, Atheism, and other issues! You can also email questions to Matt using: info@carm.org, Put "Radio Show Question" in the Subject line! Answers will be discussed in a future show. Topics Include:Matt Discusses Faith, Works, the Priesthood and Biblical Interpretation, as EO Doctrine/ Sports, Competition, and The Christian Walk/ If We Don't Question God, is it Blind Faith?/ Can We Lose Our Salvation?/ Was the Story of Lazarus and The Rich Man a Parable?/Matt Discusses a Problem With Annihilationism/May 21, 2025
Matt Slick Live (Live Broadcast of 05-21-2025) is a production of the Christian Apologetics Research Ministry (CARM). Matt answers questions on topics such as: The Bible, Apologetics, Theology, World Religions, Atheism, and other issues! You can also email questions to Matt using: info@carm.org, Put "Radio Show Question" in the Subject line! Answers will be discussed in a future show. Topics Include: Matt Discusses Faith, Works, the Priesthood and Biblical Interpretation, as EO Doctrine/ Sports, Competition, and The Christian Walk/ If We Don't Question God, is it Blind Faith?/ Can We Lose Our Salvation?/ Was the Story of Lazarus and The Rich Man a Parable?/Matt Discusses a Problem With Annihilationism/ May 21, 2025
Matt Slick Live (Live Broadcast of 05-21-2025) is a production of the Christian Apologetics Research Ministry (CARM). Matt answers questions on topics such as: The Bible, Apologetics, Theology, World Religions, Atheism, and other issues! You can also email questions to Matt using: info@carm.org, Put "Radio Show Question" in the Subject line! Answers will be discussed in a future show. Topics Include:Matt Discusses Faith, Works, the Priesthood and Biblical Interpretation, as EO Doctrine/ Sports, Competition, and The Christian Walk/ If We Don't Question God, is it Blind Faith?/ Can We Lose Our Salvation?/ Was the Story of Lazarus and The Rich Man a Parable?/Matt Discusses a Problem With Annihilationism/May 21, 2025
Guests include: 9:20 am - Drew Trafton, Forum Content Producer 9:35 am - Rory Beil, Fargo Davies Track and Field Coach 10:00 am - Dave Richman, NDSU men's basketball head coach
Sofia Vergara is looking for a rich man and Larsa Pippen blames COVID for her last relationship! Plus, actress Terri J. Vaughn is in studio dishin' about her new comedy series on today's Dish Nation!
Shaun Richman, labor historian, professor and author, joined the America's Work Force Union Podcast to discuss his new book "We Always Had a Union: The Story of the New York Hotel Workers Union, 1912-1953." Bryce Covert, contributing writer at The Nation, appeared on the America's Work Force Union Podcast to discuss her recent article that investigated sexual harassment claims at McDonald's.
Kinsella on Liberty Podcast: Episode 465. GROK SHOWNOTES: [0:00–9:16] In this engaging episode of the Kinsella on Liberty podcast, Stephan Kinsella and Sheldon Richman tackle the contentious issue of pharmaceutical price controls under Trump's executive order, questioning their equivalence to traditional price controls that distort markets. Kinsella, drawing on his extensive critique of intellectual property (Patents and Pharmaceuticals, 2023; Patents, Pharma, Government: The Unholy Alliance, 2024), argues that patents create artificial monopolies, so price controls countering these are not standard interventions but responses to government-granted privileges. Richman highlights FDA-imposed costs, which patents partially offset, though Kinsella counters that these costs are overstated, citing lower drug prices abroad (Drug Reimportation, 2009). They endorse reimportation as a market-based solution, referencing Connor O'Keefe's analysis (Mises: How Trump Can Lower Drug Prices Without Price Controls, 2025), but criticize Trump's coercive tactics as resembling a protection racket (Trump's Worst Idea: Pharmaceuticals, 2025) (0:02–6:00). The discussion also critiques antitrust laws and secondary regulations, with Richman warning against Kevin Carson's approach of layering controls atop privileges (Kevin Carson on Confiscating Property from the Rich, 2016) (6:00–9:16). [9:16–1:13:35] The conversation shifts to a robust defense of the corporate form, addressing left-libertarian criticisms of limited liability and shareholder responsibility. Kinsella, aligning with Robert Hessen's contractual view and his own writings (Corporate Personhood, Limited Liability, and Double Taxation, 2011; Left-Libertarians, Corporations, Expropriating Stakeholders, 2008), argues that limited liability is not a privilege but a logical outcome of action-based responsibility, where shareholders are not liable unless causally responsible for torts (Van Dun on Freedom versus Property and Hostile Encirclement, 2009). Richman decries the pejorative use of “corporate” by figures like Roderick Long, rejecting claims that corporations inherently rely on state favoritism (Comment on Left-Libertarianism on Roderick Long's Sub-Ex Dep Post, 2009) (9:16–36:01). They explore thick libertarianism, agreeing that individualism connects to broader values but remains distinct, and critique Walter Block's evictionism on abortion, with Kinsella arguing fetuses are not trespassers due to maternal actions (Together Strong Debate with Walter Block, 2022) (36:01–1:13:35). A lighthearted discussion on pipe tobacco reflects their commitment to personal liberty, underscoring their broader libertarian principles (Wombatrons: Why I Am a Left-Libertarian, 2009). https://youtu.be/5YaTsoDH9Eg Grok detailed shownotes: Detailed Segment Summary for Show Notes Segment 1: Price Controls, Patents, and Reimportation (0:02–9:16) Description and Summary: Kinsella andMemphis-based Robert Hessen and Sheldon Richman discuss Trump's pharmaceutical price control executive order, questioning its implications. Kinsella, per his writings (Patents and Pharmaceuticals, 2023; Patents, Pharma, Government: The Unholy Alliance, 2024), argues that patents create monopoly prices, so price controls countering these aren't standard market distortions, as patents themselves are government-granted (IP vs. Antitrust, 2005). Richman notes FDA costs inflate drug prices, but Kinsella cites lower prices abroad to argue these costs are overstated (Drug Reimportation, 2009) (0:02–2:28). They advocate reimportation, citing Connor O'Keefe's market-based approach (Mises: How Trump Can Lower Drug Prices Without Price Controls, 2025), and criticize Trump's coercive tactics as a protection racket (Trump's Worst Idea: Pharmaceuticals, 2025) (2:28–6:00). The segment critiques antitrust laws and secondary regulations, with Richman comparing them to Kevin Carson's flawed approach (Kevin Carson on Confisca...
“The work of destruction is quick, easy and exhilarating; the work of creation slow, laborious and dull.” -Roger ScrutonLarry Richman (1934-2023) was born in Philadelphia and grew up on a small Bucks County chicken farm north of the city. He attended local schools and then Colorado College, where he was inducted into Phi Beta Kappa and graduated with a BA in English in 1957. From Duke University, he received an MA in 1959 and a PhD in 1970.Larry went on to teach English at the Beaufort and Florence Centers of the University of South Carolina, Washington & Lee University, Agnes Scott College, Virginia Intermont College, and Virginia Highlands Community College, from which he retired as professor emeritus of English in 1998. He also served briefly as adjunct faculty for Vermont College.Larry was one of the founding editors of a nationally distributed poetry quarterly, The Sow's Ear Poetry Review. He and his wife, Ann, were editor-publishers of the Sow's Ear Press, which published 30 collections by poets from the upper South between 1994 and 2003. He was also one of the founders and the associate editor and advertising director of The Plow, an Appalachian alternative newsmagazine published by the nonprofit Appalachian Information. The magazine ran for four years in the late 1970s, producing a total of 72 issues. This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit dailypoempod.substack.com/subscribe
Bump and Stacy are joined by Seahawks rookie OL Mason Richman to discuss the excitement of the draft process, they look back on the college careers of Jalen Milroe and Robbie Ouzts with 247 Sports Alabama writer Mike Rodak, they answer your questions about the Seahawks Rookie pass catchers and free agent signings in Four Down Territory, and they hear rookie Seahawks safety Nick Emmanwori take a shot at the 49ers in The Timeline.